- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,013.00 / $5,254.00 / $10,398.00
| Facility | | $1,013.00 | $5,254.00 | $10,398.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $801.07 / $925.22 / $1,176.46
| Professional | | $801.07 | $925.22 | $1,176.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,531.00 / $27,840.00 / $46,480.74
| Facility | | $13,531.00 | $27,840.00 | $46,480.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $997.64 / $1,035.29 / $1,035.29
| Professional | | $997.64 | $1,035.29 | $1,035.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $941.17 / $1,231.74 / $1,981.58
| Professional | | $941.17 | $1,231.74 | $1,981.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,183.93 / $1,573.74 / $1,573.74
| Professional | | $1,183.93 | $1,573.74 | $1,573.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,836.96 / $2,836.96 / $2,836.96
| Facility | | $2,836.96 | $2,836.96 | $2,836.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,301.00 / $5,526.00 / $11,083.00
| Facility | | $1,301.00 | $5,526.00 | $11,083.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $812.22 / $939.53 / $3,694.00
| Professional | | $812.22 | $939.53 | $3,694.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.00 / $1,186.40 / $2,525.69
| Professional | | $7.00 | $1,186.40 | $2,525.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $948.27 / $1,254.08 / $2,002.16
| Professional | | $948.27 | $1,254.08 | $2,002.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $975.63 / $975.63 / $1,096.06
| Facility | | $975.63 | $975.63 | $1,096.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $944.79 / $981.47 / $1,096.06
| Professional | | $944.79 | $981.47 | $1,096.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,304.00 / $4,563.00 / $8,261.00
| Facility | | $2,304.00 | $4,563.00 | $8,261.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $898.86 / $1,174.28 / $1,943.92
| Professional | | $898.86 | $1,174.28 | $1,943.92 |